@article{oai:ssg.repo.nii.ac.jp:00000069,
 author = {桑田, 恵美子 and 古瀬, みどり and Kuwata, Emiko and Furuse, Midori},
 issue = {2},
 journal = {研究紀要 青葉 Seiyo, College review of Sendai Seiyo Gakuin},
 month = {Mar},
 note = {本研究の目的は慢性疼痛を抱え，外来通院しているRA患者が病の経験の中でどのようなセルフケアを行っているのか明らかにすることである。RAにより慢性疼痛で通院している10名を対象者に半構成的面接を行い、逐語録を作成し質的記述的研究方法を用いて分析した。RA患者の痛みの捉え方は，【自分にしかわからない痛み】【痛みを助長する因子の把握】【痛みがもたらす不安を抱く】の3カテゴリーから構成されていた。 セルフケアは，【今できることをする】【生活しやすくするための工夫】【痛みへの対処】【悪化予防の主体的行動】の4カテゴリーから構成されていた。 セルフケアの促進因子は，【家族が作る住みやすい環境】【リウマチと前向きにつき合う】の2カテゴリーから構成されていた。, Purpose: This study examined rheumatoid arthritis (RA) patients receiving outpatient care for chronic pain to understand the types of self-care approaches they have adopted from their experience with the illness． 
Method: Qualitative descriptive analysis was performed for verbatim transcripts produced from semi-structured interviews of ten patients receiving outpatient care for chronic pain from RA．
Results: Perception of pain among RA patients comprised three categories: “pain that only the patient can understand”; “comprehension of factors exacerbating pain”; and “endurance of anxiety arising from pain” Self-care comprised four categories: “behaviors that could be taken in the here and now”; “improvisations to facilitate daily living”; “ways to cope with pain”; and“voluntary behaviors to prevent aggravation”. Factors promoting self-care consisted of two categories:“presence of a comfortable living environment prepared by family members”and “positive outlook toward life with RA”．
Conclusion: The experiences of RA patients receiving outpatient care for chronic pain offer clues that may be helpful in understanding perceptions of pain, self-care and factors promoting self-care．},
 pages = {29--42},
 title = {慢性疼痛がある関節リウマチ患者の病の経験に見るセルフケア},
 volume = {9},
 year = {2018},
 yomi = {クワタ, エミコ and フルセ, ミドリ}
}